【摘要】：目的評(píng)估膿毒血癥患者體內(nèi)乳酸清除及正常化對(duì)延緩持續(xù)性器官衰竭的作用。方法選擇住院治療的膿毒血癥患者110例(并發(fā)感染和伴有器官功能衰竭)。接受治療4 h后測(cè)量乳酸含量(若乳酸含量降低≥10%,則為乳酸清除;若乳酸濃度2 mmol/L,則為正常化水平);同時(shí),接受治療48 h后,用實(shí)驗(yàn)室和臨床相結(jié)合的手段檢測(cè)持續(xù)性器官功能衰竭程度。結(jié)果接受治療4 h后,88例(80%)患者乳酸含量處于正�；�;99例(90%)患者乳酸清除。48 h后器官衰竭的評(píng)價(jià)結(jié)果表明,乳酸含量正�；脚c降低持續(xù)性器官功能衰竭發(fā)生率有關(guān)(P0.05);乳酸清除與降低持續(xù)性器官功能衰竭發(fā)生率無(wú)關(guān)(P0.05)。結(jié)論在膿毒血癥伴有器官功能衰竭的患者中,4 h以內(nèi)乳酸含量的正�；脚c降低持續(xù)性器官衰竭發(fā)生率有關(guān),搶救膿毒血癥患者應(yīng)提倡進(jìn)行連續(xù)乳酸含量測(cè)定。
[Abstract]:Objective to evaluate the effect of lactate clearance and normalization on persistent organ failure in patients with sepsis. Methods 110 patients with sepsis (complicated with infection and organ failure) were selected. The content of lactic acid was measured 4 hours after treatment (if the content of lactic acid was decreased 鈮，

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